MS. SUZAN JEANNE WATANABE


Address: 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204
Phone: 4258995600

MS. SUZAN JEANNE WATANABE (NPI# 1598845018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598845018
Entity Type Individual
Full Name MS. SUZAN JEANNE WATANABE
Credential ARNP
Practice Address 11919 Ne 128th St
Suite C
Kirkland
WA 98034-7204
Practice Telephone 4258995600
Practice Fax Number 4258995603
Mailing Telephone 4258995600
Mailing Fax Number 4258995603
Enumeration Date 2006-10-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP 30000483 WA Physician Assistants & Advanced Practice Nursing Providers
X 367A00000X Advanced Practice Midwife AP 30000483 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA REGENCE WA3359 01
WA 9606690 05

Office Location

Street Address 11919 NE 128TH ST
SUITE C
City KIRKLAND
State WA
Zip Code 98034-7204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922085646 W Mark Potampa Ophthalmology 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 2005-12-22
1669553251 Eastside Womens Clinic Clinic/Center 11919 Ne 128th St, Suite C, Kirkland, WA 98034-7204 2006-10-18
1154399319 Eye Associates Northwest, PC Eyewear Supplier (Equipment, not the service) 11919 Ne 128th St, Ste A, Kirkland, WA 98034-7204 2006-03-14
1558349076 Dennis D. Waltman Ophthalmology 11919 Ne 128th St, Suite A, Kirkland, WA 98034-7204 2006-01-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578116596 Rachel Bowers Behavior Technician 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 2019-07-18
1740841048 Kristina Louise Inghram Behavior Technician 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 2019-06-26
1053978064 Matthew A. Bagnulo, Dds, Ps Dentist 11830 Ne 128th St., #202, Kirkland, WA 98034 2019-05-24
1629568928 Stephanie Michalko Optometrist 11800 Ne 128th St Ste 110, Kirkland, WA 98034 2018-05-14
1952800013 Heath Family Counseling LLC Marriage & Family Therapist 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 2018-02-05
1891202834 Barbara Josephine Gorham Counselor 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 2017-12-29
1548782915 Eleanor Hollis Wall Counselor 14340 102nd Ave Ne, Kirkland, WA 98034 2017-07-07
1457885212 Peter Schoonmaker Hospitalist 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 2017-04-18
1780124370 Rebecca Managan Advanced Practice Midwife 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 2017-03-01
1669821104 Winter Gonzalez Counselor 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 2016-06-06
Find all providers in zip 98034

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629526215 Angie Lewis Nurse Practitioner 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 2016-09-13
1912251612 Andrea Lynn Stevens Nurse Practitioner 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 2012-11-01
1184863185 Amy L Records Nurse Practitioner 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 2009-02-13
1871775932 Resa A. Schell Nurse Practitioner 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 2007-11-30
1861514515 Gloria Frances Lamuth Nurse Practitioner 12303 Ne 130th Ln, # 225, Kirkland, WA 98034-3099 2007-04-04
1932217023 Mary A Schubert Nurse Practitioner 12303 Ne 130th Ln, Suite #420, Kirkland, WA 98034-3099 2006-08-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871190835 Women's Mobile Medical. LLC Nurse Practitioner 701 E 49th St, Tacoma, WA 98404-2025 2020-10-02
1992323018 Megan Louise Bedker Nurse Practitioner 3003 80th Ave Se, Mercer Island, WA 98040-2915 2020-07-07
1114557196 Scarlett Owen Duncan Nurse Practitioner 27121 174th Pl Se Ste 201, Covington, WA 98042-4939 2020-01-18
1346889250 Kaylee Meilahn Nurse Practitioner 219 State Ave. N, Suite 220, Kent, WA 98030 2019-12-26
1508403858 New U Women's Clinic & Aesthetics Pllc Nurse Practitioner 35 S Louisiana St, Suite A120, Kennewick, WA 99336 2019-12-05
1174008106 Nicole Ann Bazzetta Nurse Practitioner 1901 S Union Ave Ste 2006, Tacoma, WA 98405-1702 2018-09-25
1174000178 Emily K Ernst Nurse Practitioner 4525 S 19th St, Tacoma, WA 98405-1106 2018-07-23
1770079493 Erica Lauren Nunez Nurse Practitioner 5020 Roosevelt Way Ne Ste 1, Seattle, WA 98105-3644 2018-07-05
1659881001 Kathryn Conkling Nurse Practitioner 10210 State Ave, Marysville, WA 98271-7214 2017-10-11
1033575113 Amanda Jane Holen Nurse Practitioner 202 State Avenue North, Kent, WA 98031 2016-01-05
Find all providers with the same taxonomy

Competitor

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City KIRKLAND
Zip Code 98034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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